| NPI | 1073849337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 069355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60084840) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD60084840) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60084840) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2015-06-18 |